Sullivan Consolidated District No 2

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SULLIVAN CONSOLIDATED DISTRICT NO 2

Practice address

Sullivan Consolidated District No 2
138 Taylor St
Sullivan, MO 63080-1936

Phone

(573) 468-5171

Fax

(573) 468-5196

NPI assigned

Mar 14, 2007

Last updated

Jun 15, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina Harbour

Title

Special Services Director

Phone

(573) 468-5171

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah Lee Dowden

  • Speech-Language Pathologist
  • Sullivan, MO
  • NPI 1538646385
  NPD (past)
• Alysa Oliver

  • Speech-Language Pathologist
  • Sullivan, MO
  • NPI 1295614295
  NPD (past)
• Kelcey Roehrs

  • Speech-Language Pathologist
  • Sullivan, MO
  • NPI 1134584170
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1801920996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 TAYLOR ST",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801936",
            "telephone_number": "573-468-5171",
            "fax_number": "573-468-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SULLIVAN CONSOLIDATED DISTRICT NO 2",
            "address_2": "138 TAYLOR ST",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801936",
            "telephone_number": "573-468-5171",
            "fax_number": "573-468-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN CONSOLIDATED DISTRICT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "SPECIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "573-468-5171"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506081108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Sparks, LPC
• Spring Bluff R-XV School District
• Colby Andrew Stack, NP
• Christie Marie Starr, PHARMD
• Joseph A. Stroetker, O.D.
• Sullivan Dental Partnership LLC
• Sullivan Dental Partnership, LLC
• Sullivan Operations, LLC (Life Care Center of Sullivan)
• Sullivan Residential, LLC (Dunsford Court Assisted Living)
• Sandra Rachele Sumner, RDH

• Local Education Agency (LEA) in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.